• Title, Summary, Keyword: Temporomandibular disorders

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Non-invasive different modalities of treatment for temporomandibular disorders: review of literature

  • Abouelhuda, Amira Mokhtar;khalifa, Ahmad Khalifa;Kim, Young-Kyun;Hegazy, Salah Abdelftah
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.2
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    • pp.43-51
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    • 2018
  • Temporomandibular disorders (TMDs) are diseases that affect the temporomandibular joint and supporting structures. The goal of treatment for TMDs is elimination or reduction of pain and return to normal temporomandibular joint function. Initial treatment for TMDs is non-invasive and conservative, not surgical. Oral and maxillofacial surgeons should fully understand and actively care about non-invasive treatments for TMDs. The purpose of this study is to review the validity and outcomes of non-invasive and surgical treatment modalities for TMDs.

The Study for Treatment of Temporo-mandibular Joint Pain (악관절의 통증에 관한 연구)

  • Choe, Joong-Rieb;Song, Chan-Woo
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.86-92
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    • 1995
  • Temporomandibular disorders typically present findings of limited or asymmetric patterns of jaw opening and joint sounds usually described as clicking, popping, grating, or crepitus. Recently, patients with temporomandibular disorders have received an increasingly aggressive treatment with a greater emphasis on surgical and dental reconstruction. Scientific studies have not clearly identified the specific causes of the temporomandibular disorders and therefore some of the treatments are empiric, without a firm scientific foundation. We carried out a study on the patients of pain clinic OPD and concluded that the causes of the temporomandibular joint(TMJ) pain are the prolonged contraction of the muscles of mastication, especially the masseter muscle. Therefore, the spasmolytic treatment of masseter muscle would be a better treatment for TMJ syndrome rather than the surgical and dental reconstruction.

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The role of patient education and self-management method in the treatment of temporomandibular disorder (측두하악장애 치료에서 환자교육 및 자가 요법의 방법과 그 역할에 대한 고찰)

  • Choi, Young-Yuhn
    • Journal of Korean Dental Hygiene Science
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    • v.1 no.1
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    • pp.65-71
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    • 2018
  • In the treatment of temporomandibular disorders, patient education and self-management method are necessary in addition to other specialized treatments to prevent recurrence of symptoms or development of chronic pain. The causes of temporomandibular disorders are very diverse, but in many cases the patients continue to suffer or experience recurrence because of the repeated exposure to micro traumas such as oral parafunctions, bad habits, and harmful eating habits. Much better prognosis is expected if a dental hygienist who is teamed up with a specialist in the dental clinic can perform patient education and management based on the understanding of temporomandibular disorder.

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Temporomandibular Joint Disorder and Occlusal Changes: Case Reports

  • Kim, Young-Kyun
    • Journal of Korean Dental Science
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    • v.11 no.1
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    • pp.21-31
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    • 2018
  • Occlusion may change spontaneously but dental treatment or trauma in the patients with temporomandibular disorders (TMDs) may also alter occlusion. This report presents three cases displaying occlusal changes. Review of literature emphasizes the significance of TMD treatment. Conservative treatment modalities such as counseling, medication, physical therapy and splint therapy may be selected as initial treatment options. Irreversible or invasive treatment, such as orthodontic, prosthodontic, and occlusal adjustment should not be attempted early. In case there is no response to conservative treatment, joint injection, muscle injection, arthrocentesis or arthroscopic surgery might be performed.

The Association between Temporomandibular Joint Disorders and Lumbar Diseases in Adults (성인의 악관절 증상과 요추질환의 관련성)

  • Hwang, Su-hyun;Yu, Ji-Su
    • Journal of dental hygiene science
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    • v.18 no.2
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    • pp.124-129
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    • 2018
  • The purpose of this study was to examine the association between the symptoms of temporomandibular joint disorders and lumbar diseases in adults when the prevalence rate of osteoarthritis is increasing and to help develop health policies that can improve oral health and health in general. The study used representative data from the 5th Korea National Health and Nutrition Examination Survey phase 3 (2012). In total, we analyzed the data of 3,017 individuals aged over 50 years who participated in the health-related survey and underwent radiography of the lumbar joints. PASW statistics ver. 18.0 was used for analysis. This study revealed the following results: 16.1% experienced at least one symptom of temporomandibular joint disorders within the recent single year, 20.6% experienced lower back pain in the recent three months, and 30.6% had lumbar osteoarthritis revealed using radiography of the lumbar joints. Symptoms of temporomandibular joint disorders, lower back pain, and lumbar osteoarthritis were correlated with each other; the respondents who experienced symptoms of temporomandibular joint disorders had 1.70 times (95% confidence interval [CI], 1.30~2.22) higher prevalence of lower back pain and 1.20 times (95% CI, 0.86~1.68) higher prevalence of lumbar osteoarthritis than in those with no such difficulties. The results of this study confirmed that the symptoms of temporomandibular joint disorders affected lumbar diseases in adulthood. Therefore, adequate treatment and prevention of the symptoms of temporomandibular joint disorders in adults is expected to make crucial contributions to decreases in the prevalence rate of lumbar diseases and an improvement in the quality of life.

A Case of Epidermoid Cyst Initially Misdiagnosed as Temporomandibular Joint Disorder

  • Choi, Yun-Jeong;An, Seo-young;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.43 no.2
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    • pp.56-60
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    • 2018
  • Epidermoid cyst in bony wall of external auditory canal (EAC) is a very rare pathologic condition. In addition to its extreme rarity, its positional proximity to temporomandibular joint (TMJ) might lead to clinical misdiagnosis as TMJ disorders, especially when it is accompanied by temporomandibular disorders-like symptoms. In this article, we report a patient with epidermoid cyst in anterior bony wall of EAC, which was misdiagnosed as TMJ disorder because the left TMJ pain aggravated during mastication.

Correlation between mental health level, usual lifestyle, and self-report symptoms of temporomandibular joint disorder (일부 성인의 정신건강수준, 평소 생활습관 및 턱관절장애 자각증상과의 관련성)

  • Choi, Hye-Jung;Park, Kyung-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.5
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    • pp.763-770
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    • 2018
  • Objectives: The purpose of this study was to investigate the relationship between mental healthlevel,usual lifestyle, and thelevelofsubjectivesymptoms of some adults. Methods: From 17 September-28 November 2017, 260 adults living in Seoul, Gyeonggi, and Incheon comple tedaquestionnaireconsistingofgeneral characteristics (6 items), mental health level (14 items), usual lifestyle (9 items), and subjective symptoms level (9 items) on a 5-point scale. Results: In the mental health level, there was a significant difference in sex, age, marital status, education level, andexistenceofstress, and there were differences in age, marital status, occupation, and existence of stress in usual lifestyle. There were statistically significant differences in age, marital status, occupation, and existenceofstress in the subjective symptoms of temporomandibular disorders. Conclusions: It is necessary to develop a program that can be applied in parallel with counseling therapy related to mental health during the clinical treatment of temporomandibular disorders.

The Relationship between Temporomandibular Disorders(TMD) and Hearing Acuity (측두하악장애와 청력과의 관계)

  • Kang, Jin Kyu;Kim, Seong Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.3
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    • pp.187-195
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    • 2007
  • Temporomandibular disorders have been defined as a collective term embracing a number of clinical problems that involve the temporomandibular joint, the masticatory muscles, and associated structures. Since Dr. James Costen has mentioned about the relationship between TMD and posterior bite collapse, there have been many controversies about the etiology and comorbidities of TMD. The purpose of this study was to investigate the relationship between TMD and hearing acuity in 158 volunteers with or without TMD symptoms. The subjects were examined clinically about TMJ sound, missing teeth, tinnitus, TMJ pain and masticatory muscle pain and the hearing acuity were measured by Audiometer(ITO AE-1000, Japan). The result of this study indicated that there was no significant differences between TMD symptoms and hearing acuity relatively.

The Relationship between Temporomandibular Disorders(TMD) and Ear symptoms (측두하악장애와 귀 증상과의 관계)

  • Park, Hyung-Wook;Song, Ji-Hee;Kim, Seong-Taek
    • The journal of the Korean dental association
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    • v.48 no.7
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    • pp.522-530
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    • 2010
  • Temporomandibular disorders(TMD) have been defined as a collective term embracing a number of clinical problems that involve the temporomandibular joint, the masticatory muscles, and associated structures. Since Dr. James Costen has mentioned about the relationship between TMD and posterior bite collapse, there have been many controversies about the etiology and comorbidities of TMD. The purpose of this study was to investigate the relationship between TMD and hearing acuity in 158 volunteers with or without TMD symptoms. The subjects were examined clinically about TMJ sound, missing teeth, tinnitus, TMJ pain and masticatory muscle pain and the hearing acuity were measured by Audiometer(ITO AE-1000, Japan). The result of this study indicated that there was no significant differences between TMD symptoms and hearing acuity relatively.

Cases Report on Conservative Treatment for the Chronic Closed Lock of Temporomandibular Joint

  • Lee, Gi-Cheol;Park, Su-Hyun
    • Journal of Korean Dental Science
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    • v.4 no.2
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    • pp.85-91
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    • 2011
  • Some treatment methods have been proposed for patients with chronic closed lock of temporomandibular joint. We report a conservative treatment for patients who had chronic closed lock of temporomandibular joint and who did not want surgical treatment. Two patients who had been treated in the Template clinic, Soonchunhyang University Bucheon Hospital, are the subjects of this report. The subjects had chronic closed lock symptom for over 3 months after an onset of locking; conventional therapies had no effect. The subjects were treated by making them wear a Template appliance while sleeping and exercise for 10 hours a day. After periodic follow-up, significant improvement was observed for Template treatment in terms of the maximal mouth opening range. When conventional therapy is expected to be ineffective, The Template appliance can be used as conservative treatment for temporomandibular disorders patients with chronic closed lock of temporomandibular joint.